Materials for emergency department laboratory

Emergency centers with patient volumes in excess of 20,000 visits per year can benefit from a stat laboratory within its area. A stat lab can reduce waiting time for common emergency center tests. This chapter has attempted to present a "how to" approach in establishing a satellite laboratory in the emergency center. While an expense of $10,000 to $20,000 is minimum for such a laboratory, the authors believe the benefits of improved and timely patient care can offset these costs. With the ever increasing financial burdens of modern hospitals, these recommendations may be too costly for some departments. An alternative to consider is a basic laboratory for physicians maintained by central laboratory. The equipment required is listed in Table 2.

Lateral subthalamic area as mediator of classically conditioned bradycardia in rabbits

This study was conducted to examine whether a central efferent pathway passing through the lateral zona incerta (LZI) of the subthalamus selectively mediates the bradycardia conditioned response (CR) in rabbits. Electrodes were implanted bilaterally in LZI or in control sites just dorsal or ventral to LZI. Two days following surgery, animals were subjected to Pavlovian conditioning or to pseudoconditioning. Subsequent bilateral electrolytic lesions did not influence the heart rate (HR) orienting response, unconditioned response, baseline, or lack of response to pseudoconditioning. Bilateral LZI lesions alone abolished the HR CR. In a follow-up experiment, the corneoretinal potential (CRP) CR and HR were recorded. Bilateral LZI lesions following conditioning to a criterion of 65% CRP CRs abolished the HR CR without affecting CRP CRs. The present findings indicate that LZI is part of an efferent pathway that selectively mediates the HR CR in rabbits.

Lateral subthalamic area as mediator of classically conditioned bradycardia in rabbits

This study was conducted to examine whether a central efferent pathway passing through the lateral zona incerta (LZI) of the subthalamus selectively mediates the bradycardia conditioned response (CR) in rabbits. Electrodes were implanted bilaterally in LZI or in control sites just dorsal or ventral to LZI. Two days following surgery, animals were subjected to Pavlovian conditioning or to pseudoconditioning. Subsequent bilateral electrolytic lesions did not influence the heart rate (HR) orienting response, unconditioned response, baseline, or lack of response to pseudoconditioning. Bilateral LZI lesions alone abolished the HR CR. In a follow-up experiment, the corneoretinal potential (CRP) CR and HR were recorded. Bilateral LZI lesions following conditioning to a criterion of 65% CRP CRs abolished the HR CR without affecting CRP CRs. The present findings indicate that LZI is part of an efferent pathway that selectively mediates the HR CR in rabbits.

Nucleus reticularis lateralis involvement in the pressor component of the cerebral ischemic response

Lesions of the ventromedial portion of the nucleus reticularis lateralis (NRL) of the medulla oblongata in the rabbit significantly and markedly reduced the pressor component of the cerebral ischemic response (CIR) without altering vasomotor tone. Use of horseradish peroxidase as an anterograde and retrograde tracer indicated that the ventromedial NRL projects to the intermediolateral cell column (IML) of the upper thoracic spinal cord. Injections of glutamate into ventromedial NRL elevated blood pressure (BP), indicating that neuronal cell bodies in this area are capable of eliciting BP elevations when stimulated. These findings suggest that cell bodies in the ventromedial NRL are capable of eliciting pressor responses during the CIR via direct projections to sympathetic preganglionic cell bodies.

Formation of highly stable complexes between 5-azacytosine-substituted DNA and specific non-histone nuclear proteins. Implications for 5-azacytidine-mediated effects on DNA methylation and gene expression

Incubation of 5-azacytosine-substituted DNA ([5-aza-C]DNA) with nuclear proteins leads to the formation of highly stable DNA . protein complexes which remain intact in the presence of 1 M NaCl and/or 0.6% Sarkosyl. The proteins involved in binding double-stranded [5-aza-C]DNA in these stable complexes comprise a specific subset of non-histone nuclear proteins that includes DNA methyltransferase. Complex formation does not require S-adenosylmethionine and does not involve covalent linkage of protein to DNA or modification of 5-azacytosine residues. Non-histone nuclear proteins do not form complexes with double-stranded unsubstituted DNA that are resistant to dissociation with NaCl and Sarkosyl but are capable of forming such complexes with single-stranded DNA regardless of whether it contains 5-azacytosine residues or not. However, it can be demonstrated 1) that single-stranded regions do not account for stable binding of proteins to native [5-aza-C]DNA and 2) that many nuclear proteins which form stable complexes with single-stranded DNA are incapable of forming such complexes with double-stranded [5-aza-C]DNA. Synthesis of [5-aza-C]DNA by cells growing in the presence of either 5-azacytidine or 5-aza-2'-deoxycytidine leads to rapid loss of extractable DNA methyltransferase (Creusot, F., Acs, G., and Christman, J.K. (1982) J. Biol. Chem. 257, 2041-2048). Analogous depletion of non-histone nuclear proteins capable of forming stable complexes with [5-aza-C]DNA in vitro is observed, suggesting that the same proteins can form highly stable complexes with [5-aza-C]DNA in vitro and in vivo. Formation of stable complexes between non-histone nuclear proteins and [5-aza-C]DNA could potentially affect not only the activity of DNA methyltransferase but the action of other regulatory proteins or enzymes that interact with DNA. Such interactions could explain effects of 5-azacytidine on gene expression that cannot be directly linked to loss of methyl groups from DNA.

The type A behavior pattern, physical fitness, and psychophysiological reactivity

Joint effects of the Type A behavior pattern and aerobic fitness were examined with regard to heart rate (HR) and blood pressure (BP) changes elicited by laboratory challenges. Sixty-one college students were classified as Type A or B using the Structured Interview (SI), and as physically fit or sedentary using self-reports of activity level and estimated VO2max values obtained on a step test. Subjects were challenged with the SI, presentation of a snake, mental arithmetic, a cold pressor task, and two competitive card games. Significant A-B differences were found only on the SI and the card games. During the SI: As displayed significantly greater BP increases than Bs; sedentary subjects showed greater BP increases than fit subjects; and sedentary As revealed greater BP increases than either fit As, fit Bs, or sedentary Bs. In contrast, during the competitive games, physically fit As showed reliably greater BP increases than either sedentary As, sedentary Bs, or fit Bs. Since the physically fit subjects were almost exclusively varsity athletes and the sedentary subjects were college students who reported following a sedentary lifestyle, the differences between sedentary and fit groups may have been due to differences in aerobic fitness or to the improved ability of competitive athletes or those engaged in fitness training to match arousal level to task requirements.

Operant conditioning and the modulation of cardiovascular function

Operant learning appears to be one of the primary mechanisms underlying what cardiovascular and pulmonary physiologists have called adaptation, habituation, and central command. In general, studies that have attempted to use operant conditioning alone to create experimental models of behaviorally induced disease have been unsuccessful because the cardiovascular responses adapted or habituated over time. Thus, these studies have provided implicit demonstrations of the roles played by CNS and conditioning processes in achieving and preserving homeostasis. During the past few years those interested in behavioral contributions to cardiovascular pathology have therefore begun to look at interactions between behavior and other variables that might predispose organisms towards pathology (e.g. genetic background; excessive sodium intake). Perhaps even more promising has been the growth in the number of technically competent, well-controlled studies designed to investigate: (a) broad scientific questions of how behaviorally important processes such as learning and reinforcement interact with physiologically important variables such as blood flow redistribution and cardio-pulmonary integration; and (b) the role of behavioral variables in CNS control of the circulation. Based upon our survey of the recent literature, we believe that the time is ripe for those interested in cardiovascular neurobiology increasingly to include behavioral variables in their studies, because the raison d'etre of the CNS is to optimize the organism's ability to interact with its environment. Only when these organismic-environmental interactions are studied both behaviorally and physiologically, in a broad biological context, will it be possible to develop rational models of neuro-circulatory regulation.

Harassment, hostility, and type A as determinants of cardiovascular reactivity during competition

Anger/hostility and Type A behavior have been implicated in elevated cardiovascular reactivity and disease. In the present experiment systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) were monitored during conditions of competition alone or in conjunction with goal blocking or harassment. Cardiovascular reactivity was examined as a function of conditions, Type A or B pattern, and various measures of anger/hostility. Harassment elicited significantly elevated SBP and HR changes relative to goal-blocking and control conditions. Type As reliably exceeded Type Bs in magnitude of SBP change during the harassment condition only. However, exploratory analyses correlating anger/hostility measures and cardiovascular reactivity indicated that only subjects scoring high on the Buss-Durkee Hostility Inventory showed significantly elevated SBP reactivity as a function of Type A behavior pattern, rated hostility during the A-B interview, or outward expression of anger assessed by the Framingham Anger-In vs Anger-Out Scale.

The location of chronotropic cardioinhibitory vagal motoneurons in the medulla of the rabbit

Vagal preganglionic motoneurons originating in nucleus ambiguus (NA) and dorsal vagal nucleus (DVN) were identified via retrograde labeling with horseradish peroxidase (HRP). DVN and NA were then explored for cardiovascular responsive sites using microstimulation. Stimulation within DVN from slightly caudal to obex to 3.00 mm rostral to obex produced a primary bradycardia (n = 15, X = -123 bpm). Stimulation within NA from slightly rostral to obex to 1.5 mm caudal to obex produced a similar primary bradycardia (n = 15, X = -127 bpm). Extracellular recordings were made from 7 cells in DVN and 10 cells in NA in regions producing maximal bradycardia to electrical stimulation. These cells were antidromically activated by cervical vagus nerve (VN) stimulation, increased their firing rates to systemic injection of phenylephrine (PE), revealed an expiratory rhythm, showed an increase in firing rate coinciding with spontaneous and elicited decreases in heart rate, had conduction velocities in the A-delta and B-fiber range, and produced bradycardia upon stimulation through the recording electrode with thresholds as low as 4 microA. The data indicate that in rabbits, chronotropic cardioinhibitory vagal motoneurons are discretely localized on the lateral, caudal portions of DVN and NA between 0.5 mm caudal and 1.5 mm rostral to obex.

Effect of 5-azacytidine on differentiation and DNA methylation in human promyelocytic leukemia cells (HL-60)

One of the most readily quantitated indices of myeloid maturation in HL-60 cells is their ability to respond to the tumor promoter, 12-O-tetradecanoylphorbol-13-acetate with increased respiratory burst activity. HL-60 cells exposed to the antileukemic drug, 5-azacytidine (3 to 5 microM) for 24 hr and subsequently cultured in its absence for 2 to 3 days develop an enhanced ability to respond to 12-O-tetradecanoylphorbol-13-acetate with increased respiratory burst activity detectable as an increase both in hexose monophosphate shunt activity and in the proportion of the population producing superoxide anion. 5-Azacytidine treatment also causes marked inhibition of DNA methyltransferase, and thus DNA synthesized by HL-60 cells during the 24-hr period of analogue treatment is essentially devoid of methylated cytosine residues. This suggests, as does our previous finding that a general inhibitor of transmethylation reactions, L-ethionine, can induce differentiation of HL-60 cells, that changes in gene expression triggered by these compounds may be linked to their ability to alter patterns of DNA methylation. Since at least 50% of HL-60 cells capable of forming colonies in soft agar after a 24-hr exposure to 5-azacytidine yield progeny that mature (i.e., produce superoxide anion in response to 12-O-tetradecanoylphorbol-13-acetate) 2 weeks after 5-azacytidine treatment, the results also indicate that the changes induced in HL-60 cells by limited exposure to 5-azacytidine are heritable and can influence gene expression many generations after treatment has been terminated.

The location and properties of preganglionic vagal cardiomotor neurones in the rabbit

The origins of preganglionic vagal neurons which slow the heart in the rabbit have been examined with standard neurophysiological stimulation and recording techniques. The activity of 216 neurones projecting to the right cervical vagus nerve have been recorded in localized areas of the brain stem. Thirty-six of these neurones were classified as cardiomotor neurones since they had properties similar to those described for such neurones in the cat. All had efferent axons in the range of B fibres. They could be synaptically activated by electrical stimulation of the ipsilateral aortic nerve which in the rabbit is solely barosensory. The majority of these neurones (70%) were spontaneously active and those which were normally silent could be made to fire by iontophoretic application of DL-homocysteic acid (an excitant amino acid). This spontaneous, or evoked, activity showed evidence of a pulse rhythm (of baroreceptor origin) and respiratory modulation (firing predominantly during expiration). In response to application of DL-homocysteic acid, the neuronal excitation was usually accompanied by a small but significant bradycardia. Histological examination showed that these neurones were located in both the dorsal vagal nucleus and the nucleus ambiguus.

Cardiovascular responses elicited by hypothalamic stimulation in rabbits reveal a mediolateral organization

Heart rate and blood pressure response patterns were elicited by relatively low intensity (approximately 0.2 mA) stimulation (10 s trains; 100 pulses/s; 0.25 ms pulse duration) in different regions of the hypothalamus in anesthetized rabbits. A bradycardia/depressor pattern was elicited from both anterior and posterior stimulating electrode sites in the far lateral hypothalamus. Medial sites including the ventromedial hypothalamus elicited a tachycardia/pressor pattern. A bradycardia/pressor pattern was elicited from both the anterior and posterior hypothalamus at sites between the lateral hypothalamic (bradycardia/depressor) and the medial hypothalamic (tachycardia/pressor) zones. Paralysis by injection of decamethonium in conjunction with artificial ventilation did not reveal systematic differences in cardiovascular response threshold, form, or magnitude between the paralyzed and non-paralyzed state, indicating that the cardiovascular response patterns were not secondary to changes in respiration. Bilateral vagotomy abolished the bradycardia responses evoked by hypothalamic stimulation indicating that the cardiodeceleration was mediated by the vagus nerves; vagotomy attenuated tachycardia responses indicating that the responses in part reflected a decrease in vagal restraint. Bradycardia responses to ipsilateral but not contralateral hypothalamic stimulation were attenuated or abolished when examined 10-14 days after unilateral destruction of the central nucleus of the amygdala. This indicates that the bradycardia responses elicited by hypothalamic stimulation are in part mediated by fibers of passage. Stimulation of lateral hypothalamic sites eliciting a bradycardia/depressor pattern in anesthetized rabbits, evoked mild orienting in the same animals when conscious, whereas medial hypothalamic sites producing the tachycardia/pressor response pattern in anesthetized animals elicited intense excitement with autonomic concomitants in the nonanesthetized state. The results indicate that the rabbit hypothalamus has a mediolateral organization in terms of at least some cardiovascular and behavioral responses to intracranial stimulation.

Parabrachial area as mediator of bradycardia in rabbits

This study examined the role of the parabrachial nucleus (PBN) in the mediation of bradycardia and in the reception of barosensory information. The 82 rabbits in the investigation were anesthetized with ethyl carbamate. Train stimulation of medial or lateral PBN produced primary bradycardia (mean peak change: -74 beats/min) associated with a pressor response (average peak mean change: +10 mm Hg) of longer latency. Section of the cervical vagus nerves indicated that the bradycardia was mediated primarily by the parasympathetic nervous system. Heart rate and blood pressure responses to train stimulation did not vary systematically as a function of respiratory pattern; paralyzing animals with decamethonium hydrochloride and artificially ventilating them also did not influence the cardiovascular responses to stimulation. Single-pulse stimulation of PBN in conjunction with extracellular single neuron recording established that neurons originating in or projecting through PBN project to the commissural region of nucleus tractus solitarius (NTS) where synapse is made neurons receiving barosensory input. In addition to establishing the existence of descending functional projections passing from PBN to NTS, injections of HRP into PBN revealed direct descending anatomical projections to PBN from regions of the forebrain previously implicated in the mediation of bradycardia. These included central nucleus of amygdala, lateral preoptic region, medial, forebrain bundle, bed nucleus of stria terminalis, anterior and lateral hypothalamus and zona incerta. The present investigation also indicated that PBN receives barosensory information. Single-pulse electrical stimulation of the aortic nerve (AN) activated neurons in NTS at an average latency of 7.5 ms and in PBN at a mean latency of 12.1 ms. Mean latency of 9 neurons in NTS activated antidromically by PBN stimulation was 3.4 ms. Conduction velocity of the monosynaptic fibers projecting from NTS to PBN was approximately 3.5 m/s, which would be characteristic of finely myelinated fibers. Injection of HRP into PBN confirmed the existence of direct ascending projections to PBN from regions of NTS (e.g. lateral commissural area) previously shown to receive primary barosensory input. However, the finding that only 1 of 9 NTS neurons antidromically activated by PBN stimulation also received barosensory stimulation, indicates that additional study is needed of the mono- and oligosynaptic functional projections from NTS to PBN. The present study did provide evidence that PBN both receives barosensory information at short latency over a direct route, and serves as a relay for descending projections mediating bradycardia.

Hexamethonium modification of cardiovascular adjustments during combined static-dynamic arm exercise in monkeys

In weight lifting and rowing, essentially the same groups of muscles contract in isometric (static) and isotonic (dynamic) fashion. To approximate the combined static-dynamic arm movements involved in rowing or lifting weights, four rhesus monkeys were trained to pull a T-bar and thereby avoid tail shock. Each animal received 8 daily test sessions in which loads (0.4, 0.8, 1.2, 1.6 kg), total pulls (3, 6, 9, 12 at a constant pull frequency, 0.5 Hz) and alternate sessions of pulling after injection of hexamethonium chloride (7 mg/kg) or saline were factorially combined. Our data indicate that heart rate in this model is primarily influenced by the duration of the dynamic exercise component (number of pulls) in this specific exercise task whereas both dynamic and static components affect systolic and diastolic blood pressure. After ganglionic blockade, heart rate and diastolic pressure do not change appreciably during T-bar pulling while the rise in systolic pressure is attenuated and varies primarily as a function of the static exercise component. The clinical implications of these experiments are discussed.

Hypomethylation of DNA during differentiation of Friend erythroleukemia cells

DNA from mammalian cells has been shown to contain significant amounts of 5-methyl cytosine resulting from enzymatic transfer of methyl groups from s-adenosylmethionine to cytosine residues in the DNA polymer. The function of this modification is not known. We have found that DNA synthesized during chemically induced differentiation of friend erythroleukemia cells is hypomethylated, as measured by its ability to accept methyl groups transferred by homologous DNA methyltransferases in vitro. The extent of hypomethylation detected by this sensitive method is small, a decrease of less than 1.6 percent in 5-methylcytosine content. Hypomethylated DNA can be isolated from friend erythroleukemia cells grown in the presence of dimethyl sulfoxide, butyrate, hexamethylene-bis- acetamide, pentamethylene-bis acetamide, and ethionine. However, hypomethylated DNA is found only under conditions where differentiation is actually induced. DNA isolated from cells of a dimethyl sulfoxide- resistant subclone grown in the presence of that agent is not hypomethylated, although DNA of these cells becomes hypomethylated after growth in the presence of inducers that can trigger their differentiation. We also find that the DNA of friend erythroleukemia cells does not become hypomethylated when the cells are exposed to inducing agents in the presence of substances that inhibit differentiation. These results suggest a close link between genome modification by methylation and differentiation of friend erythroleukemia cells.

Differential cardiovascular changes as a function of stimulation electrode site in rabbit hypothalamus

Twenty chronically prepared, unanesthetized rabbits received both high-frequency (200 pulse/sec), short pulse-train (1.0 sec) and relatively low-frequency (25 pulse-sec), long pulse-train (10 sec) electrical stimulation of the hypothalamus. High-frequency, short pulse-train stimulation elicited a pressor response and bradycardia at all 27 electrode sites. In contrast, three other cardiovascular response patterns were obtained following low-frequency, long pulse-train stimulation. These latter patterns reflected a medial-lateral organization of autonomic function within the hypothalamus. Whereas all 15 lateral hypothalamic placements yielded depressor responses, 7 of 12 medial hypothalamic placements yielded pressor responses and tachycardia. Cardiovascular changes following administration of selective autonomic blocking agents (e.g., phentolamine, propranolol, methylatropine) suggest that high-frequency, short pulse-train stimulation elicited a pressor response followed by a reflexive bradycardia essentially mediated by an increase in vagal restraint. In contrast, the heart rate changes observed to low-frequency, long pulse-train stimulation all appear to have been importantly influenced by changes at the heart in beta-adrenergic activity.

Temporal relationships of barosensory attenuation in conscious rabbits

Electrical stimulation of anterior or posterior hypothalamus with 10-s trains elicited heart rate and blood pressure decreases. Presentation of anterior hypothalamic stimulation coincident with or 5, 10, or 15 s prior to 5-s train stimulation of aortic nerve (AN) summated with depressor-decelerator responses to AN stimulation. The summating effect was more pronounced for heart rate than for blood pressure. Simultaneous onset of AN and posterior hypothalamic stimulation did not influence AN responses. In contrast, when AN stimulation was delayed until 5, 10, or 15 s after onset of posterior hypothalamic stimulation, small, moderate, and full attenuation of AN responses occurred, respectively. Since AN and posterior hypothalamic stimulation each led to depressor-decelerator responses, attenuation of AN responses cannot be attributed to simple summation of cardiovascular responses elicited by intracranial and aortic nerve stimulation.

Selective autonomic blockade of conditioned and unconditioned cardiovascular changes in rhesus monkeys (Macaca mulatta)

Changes in heart rate and in systolic and diastolic blood pressures were examined in eight rhesus monkeys during six sessions of differential classical conditioning. The conditioned stimuli consisted of tones differing in frequency and the unconditioned stimuli consisted of tail shock. Both the conditioned responses (CRS) and unconditioned responses (UCRs) consisted of increases in heart rate and in systolic and diastolic pressures, but blood pressure CRs sometimes occurred in the absence of heart rate CRs. Graded doses of the selective blocking agents propranolol, phentolamine, and atropine methylnitrate were systemically administered to four of the monkeys prior to additional conditioning sessions. The results suggested that the CRs and UCRs were mediated by both sympathetic and parasympathetic influences.

Aortic nerve-activated cardioinhibitory neurons and interneurons

Unit activity evoked by electrical stimulation of the aortic and vagus nerves was recorded in the dorsal motor nucleus and nucleus solitarius of unanesthetized rabbits. Cardioinhibitory cells which showed antidromic activation to stimulation of the vagus nerve and synaptic activation to stimulation of the aortic nerve were localized in lateral dorsal motor nucleus 0.5-0.8 mm anterior of the obex. Additionally, units were found that appeared to be interneurons in the medullary pathway subserving baroreceptor reflex effects on cardioinhibitory neurons. These cells were activated by aortic, and usually vagus, nerve stimulation, appeared to be polysynaptically activated, and were located in medial nucleus solitarius rostral to the obex. Neurons reflecting a cardiac rhythm but not activated by aortic nerve stimulation were also observed.

Shock-induced aggression as a function of prior experience with avoidance, fighting, or unavoidable shock

Rats were trained in shock-induced aggression, free operant avoidance, or were presented with unavoidable shocks. Fighting in response to shock was subsequently measured by intermatching individual animals that had received the three training procedures. The fighting probabilities of animals with histories of avoidance and dominant animals with histories of fighting were higher than the fighting probabilities of non-dominant fighting rats or rats with a history of unavoidable shocks. Animals with higher fighting probabilities disrupted avoidance baselines more than animals with lower fighting probabilities. Control experiments suggested that fighting decrements produced by administration of prior grid-shock were due to the acquisition of behaviors incompatible with aggression.

Frequency of attack in shock-elicited aggression as a function of the performance of individual rats

Fighting rates between paired rats were investigated as a function of the probability of attack by a single animal. Animals from stable high-fighting and low-fighting frequency pairs were intermatched to detect individual high-fighting and low-fighting rats. Pairs of high-fighting animals then received saline or different chlorpromazine dosages during successive sessions. Finally, single high-fighting members of each pair also received the different drug dosages. The chief findings were that: (a) rats showing high fighting rates when matched against each other revealed low fighting rates when matched against one, but not the other member of a low-fighting pair; and (b) high-fighting rats decreased their fighting rates as their own or their opponent's chlorpromazine dosage increased. These results indicated that a low rate of fighting on the part of one rat results in a low fighting rate on the part of its opponent.

The type A behavior pattern, physical fitness, and psychophysiological reactivity

Joint effects of the Type A behavior pattern and aerobic fitness were examined with regard to heart rate (HR) and blood pressure (BP) changes elicited by laboratory challenges. Sixty-one college students were classified as Type A or B using the Structured Interview (SI), and as physically fit or sedentary using self-reports of activity level and estimated VO2max values obtained on a step test. Subjects were challenged with the SI, presentation of a snake, mental arithmetic, a cold pressor task, and two competitive card games. Significant A-B differences were found only on the SI and the card games. During the SI: As displayed significantly greater BP increases than Bs; sedentary subjects showed greater BP increases than fit subjects; and sedentary As revealed greater BP increases than either fit As, fit Bs, or sedentary Bs. In contrast, during the competitive games, physically fit As showed reliably greater BP increases than either sedentary As, sedentary Bs, or fit Bs. Since the physically fit subjects were almost exclusively varsity athletes and the sedentary subjects were college students who reported following a sedentary lifestyle, the differences between sedentary and fit groups may have been due to differences in aerobic fitness or to the improved ability of competitive athletes or those engaged in fitness training to match arousal level to task requirements.